Sonoma Post Acute Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
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What the public record shows
If you are looking into Sonoma Post Acute in Sonoma, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 4 citations in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 4 of 5 stars. The health inspection rating, the most independent of the three categories, is 3 of 5.
- California state citations: 22 on record, including 4 class A and 18 class B, with $85,879 in assessed penalties.
- Staffing: 3.58 nursing hours per resident per day; registered nurse turnover 46.7%.
- Most recent standard inspection: 10 deficiencies cited on April 16, 2026. The most recent inspection since then was on June 25, 2026: 2 deficiencies cited in the complaint inspection.
- Federal enforcement: 1 federal fine totaling $18,470 in the reported period.
- Ownership: Sonomaidence Opco LLC, for-profit, part of Pacs Group (274 facilities nationally).
Sonoma Post Acute ratings and staffing
Sonoma Post Acute is located at 678 2Nd Street West in Sonoma, Sonoma County. It is a for-profit facility operated by Sonomaidence Opco LLC, part of Pacs Group, with 83 certified beds and an average of 79.3 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Sonoma Post Acute, those scores are: health inspections 3 of 5, staffing 3 of 5, quality measures 5 of 5.
Staffing. Sonoma Post Acute reports 3.58 total nursing hours per resident per day, of which 0.62 are registered nurse hours. Over the reporting year, 42.7% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Homes in Sonoma County with a higher CMS overall rating
CMS rates each of these homes above Sonoma Post Acute on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.
- Broadway Villa Post Acute, Sonoma: CMS overall rating 5 of 5
- Apple Valley Post-Acute Rehab, Sebastopol: CMS overall rating 5 of 5
- Cloverdale Healthcare Center, Cloverdale: CMS overall rating 5 of 5
- Spring Lake Village, Santa Rosa: CMS overall rating 5 of 5
- Summerfield Health Care Center, Santa Rosa: CMS overall rating 5 of 5
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
June 25, 2026, complaint inspection
2 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody and timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)
- F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
April 22, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity G)
April 16, 2026, standard inspection
10 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards, keep all essential equipment working safely, and allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
- F0908Keep all essential equipment working safely. (scope and severity F)
- F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (scope and severity E)
- F0699Provide care or services that was trauma informed and/or culturally competent. (scope and severity E)
- F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
- F0685Assist a resident in gaining access to vision and hearing services. (scope and severity D)
- F0791Provide or obtain dental services for each resident. (scope and severity D)
- F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity D)
- F0881Implement a program that monitors antibiotic use. (scope and severity D)
November 14, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)
August 1, 2025, complaint inspection
2 deficiencies cited. Surveyors cited the facility for not hire anyone with a finding of abuse, neglect, exploitation, or theft and ensure services provided by the nursing facility meet professional standards of quality.
- F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (scope and severity D)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
July 22, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
July 18, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
May 16, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
March 20, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (scope and severity D)
January 30, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure residents have reasonable access to and privacy in their use of communication methods.
- F0576Ensure residents have reasonable access to and privacy in their use of communication methods. (scope and severity E)
June 13, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide safe, appropriate pain management for a resident who requires such services.
- F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity D)
March 30, 2022, standard inspection
20 deficiencies cited. Surveyors cited the facility for provide safe and appropriate respiratory care for a resident when needed, provide activities to meet all resident's needs, and employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity L)
- F0679Provide activities to meet all resident's needs. (scope and severity F)
- F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (scope and severity F)
- F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity F)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity E)
- F0692Provide enough food/fluids to maintain a resident's health. (scope and severity E)
- F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (scope and severity E)
- F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (scope and severity E)
- F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
- F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (scope and severity E)
- F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
- F0760Ensure that residents are free from significant medication errors. (scope and severity E)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
- F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity E)
- F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (scope and severity E)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
- F0645PASARR screening for Mental disorders or Intellectual Disabilities (scope and severity D)
- F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance. (scope and severity D)
Penalties. Over the reported period, Sonoma Post Acute received 1 federal fine totaling $18,470. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 22 citations against Sonoma Post Acute between November 17, 2000 and November 14, 2019: 4 class A and 18 class B, with $85,879 in assessed penalties.
- November 14, 2019, class A, Patient Care. $14,000 penalty. Appealed.
- November 14, 2019, class B, Financial Occurrence/Fac Not Self Reported. $1,000 penalty.
- October 22, 2019, class B, Patient Care. $2,000 penalty.
- July 5, 2018, class B, Patient Rights. $2,000 penalty.
- July 5, 2018, class B, Patient Rights. $2,000 penalty.
- June 16, 2015, class B, Patient Care. $2,000 penalty.
- February 6, 2013, class B, Patient Rights. $1,000 penalty.
- April 21, 2010, class A, Patient Care. $12,000 penalty. Appealed.
- January 22, 2010, class B, Patient Care. $1,000 penalty.
- June 5, 2009, class A, Patient Care. $18,000 penalty.
- May 8, 2009, class B, Other. $1,000 penalty.
- September 4, 2008, class B, Patient Care. $3,000 penalty.
and 10 earlier citations, in the CDPH record linked under Sources.
Across Sonoma County's 18 certified facilities, the average is about 16.8 state citations per facility. Sonoma Post Acute's 22 is above that average.
A citation marked "Appealed." is under appeal, so it is not a final determination. A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Sonoma
Families comparing options in Sonoma often look at these facilities as well. Each link opens that facility's full public record:
- Broadway Villa Post Acute, 5 stars, 25 state citations
- Valley of the Moon Post Acute, 3 stars, 5 state citations
- Apple Valley Post-Acute Rehab, 5 stars, 32 state citations (in Sonoma County)
- Healdsburg Hospital D/P SNF, 4 stars, 2 state citations (in Sonoma County)
See every facility in the Sonoma County nursing home directory.
Other nursing homes in Sonoma County
These are other nursing homes in Sonoma County, listed by how close each home's ZIP code is to the ZIP code for Sonoma Post Acute. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Broadway Villa Post Acute, Sonoma
- Valley of the Moon Post Acute, Sonoma
- Apple Valley Post-Acute Rehab, Sebastopol
- Healdsburg Hospital D/P SNF, Healdsburg
- Cloverdale Healthcare Center, Cloverdale
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Sonoma Post Acute, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Sonoma County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Sonoma County's ombudsman program can be reached at (707) 526-4108. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Sonoma Post Acute is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Sonoma County
If a loved one was harmed at Sonoma Post Acute, these pages explain how Sonoma County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Sonoma County bedsore lawyer
- Sonoma County nursing home neglect lawyer
- Sonoma County nursing home fall lawyer
- Sonoma County nursing home wrongful death lawyer
You can also compare every home in the Sonoma County nursing home directory.
Are There Lawsuits Against Sonoma Post Acute?
This page reports federal and state inspection, complaint and enforcement records for Sonoma Post Acute. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Sonoma County are searchable through the Sonoma County Superior Court's online case records. If your family member was injured at Sonoma Post Acute, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Sonoma Post Acute a good nursing home?
- CMS gives Sonoma Post Acute an overall rating of 4 of 5 stars, with a health inspection rating of 3 of 5 based on in-person state surveys. California has issued 22 state citations against the facility, including 4 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Sonoma Post Acute?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Sonoma County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Sonoma Post Acute been fined or cited for serious violations?
- Public records show 1 federal fine totaling $18,470 and 22 California state citations with $85,879 in state penalties, including 4 class A citations.
- How many state citations does Sonoma Post Acute have?
- The California Department of Public Health has issued 22 citations against Sonoma Post Acute in Sonoma between November 17, 2000 and November 14, 2019: 4 class A and 18 class B, with $85,879 in assessed penalties.
- How do I report a problem at Sonoma Post Acute?
- File a complaint with CDPH through its Cal Health Find system, or contact the Sonoma County Long-Term Care Ombudsman at (707) 526-4108. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Sonoma Post Acute, talk to our Sonoma County nursing home abuse lawyers. We handle cases in Sonoma and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
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Sources
- Centers for Medicare & Medicaid Services, Care Compare: Sonoma Post Acute provider record, CCN 055268. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Sonoma Post Acute state license record, FACID 010000034, license 10000030.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Sonoma Post Acute in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Sonoma Post Acute, and neither the facility nor any government agency endorses this page.